Normative needs for community-based psychiatric care of patients with schizophrenia in different residential settings

Formal and informal support for older adults with severe mental illness

“…The areas for which both formal and informal supports supplied help to the greatest percentage of older clients were psychiatric distress (95.7 and 74.3%, respectively), intimate relations (87.1 and 74.2%, respectively), and social contacts (70.4 and 79.6%, respectively). This finding is consistent with research on younger and mixed-age SMI clients (Arvidsson, 2001;LeiBe & Kallert, 2003;McCrone et al, 2001). The high rates of support in these areas may be a result of existing patterns of care provided during earlier age periods.…”

“…Other researchers indicate that intimate relations and social contact needs are among those most often cited by older SMI clients and those that most frequently remain unmet (Cummings & MacNeil, 2008;McNulty, Duncan, Semple, Jackson, & Pelosi, 2003). Other social functioning needs of older adults with SMI include assistance with money, learning about potential benefits, handling domestic skills, homemaking chores, and transportation (Bengtsson-Tops & Hannson, 1999;Cummings & Cassie, in press;LeiBe & Kallert, 2003;McNulty et al, 2003).…”

Residential facilities as the new scenario of long-term psychiatric care

“…Eighty-nine of these patients were living in residential facilities of varying size and degree of cover. This study found, as predicted, that patients in residential facilities with intensive cover exhibited the highest numbers of areas of need [15]. Another survey examined 251 patients with schizophrenia aged 40-97 years.…”

Comparing the effectiveness of different types of supported housing for patients with chronic schizophrenia

“…With regard to the setting-specific levels of normative needs for care (Leisse and Kallert 2003b), these reflect the higher degree of psychopathological symptoms and social disabilities of patients living in institutionalised settings but probably also well-known methodological problems of an advanced level of available information in these settings (Kallert et al 2004). That the level of unmet needs increased in well-equipped nursing-homes could be discussed in two ways.…”

“…That the level of unmet needs increased in well-equipped nursing-homes could be discussed in two ways. The first points to the limitations in their provision of care that these institutions encounter if older and difficult-to-place patients exceed a certain level of clinical and social problems (Arvidsson 2003;Lesage et al 2000;Leisse and Kallert 2003b). The second could raise further concerns addressing the quality of care provided in these institutions.…”